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Sports Camp Registration Form
Participant Name:

First

Last
Parent/Guardian:

First

Last
Address:

Street Address

Address Line 2 (optional)

City

State

Zip
Phone:

(ex. 555-555-5555)
Email:
Age:
Date of Birth: (m/d/yyyy)
Grade:
School:
T-Shirt Size: (Not applicable for all camps/clinics)
Position:
Youth Program:
Years of Experience:
For the Field Hockey Tournament, please provide all names of teammates, if known.
Team Members:

* All fields above are required except "Address Line 2".

Select Camp:   Women's Soccer ID Clinic, 4/27 ($100) (Deposit - $50)
Men's Soccer ID Clinic, 4/27 ($100) (Deposit - $50)
Field Hockey Clinic, 4/28 ($100) (Deposit - $50)
Field Hockey Clinic, 6/6 ($50) (No Deposit - Pay in Full)
Field Hockey Clinic, 6/10 ($50) (No Deposit - Pay in Full)
Sprint & Hurdle Clinic, 6/17 ($25) (No Deposit - Pay in Full)
Youth Running Clinic, 6/18 ($25) (No Deposit - Pay in Full)
Field Hockey Youth Clinic, 6/22 ($20) (No Deposit - Pay in Full)
Sprint & Hurdle Clinic, 6/24 ($25) (No Deposit - Pay in Full)
Youth Running Clinic, 6/25 ($25) (No Deposit - Pay in Full)
Sprint & Hurdle Clinic, 7/1 ($25) (No Deposit - Pay in Full)
Youth Running Clinic, 7/2 ($25) (No Deposit - Pay in Full)
Volleyball ID Clinic, 7/21 ($100) (Deposit - $50)
Volleyball Camp, 7/22-7/25 ($150) (Deposit - $50)
Field Hockey Camp, Grades K-5 ($50) (No Deposit - Pay in Full)
Field Hockey Camp, Grades 6-12 ($175) ($50 Deposit)
Please enter your amount of payment. A minimum deposit is due to hold your spot as outlined above or you may pay in full. ***Please note when paying your final balance, you must return to this site and recomplete all registration and credit card information.***
Payment Amount (see above):   $

I would like to pay by: Mail-In   Credit Card  
Information for completing your payment and a confirmation screen will appear on the following pages.

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